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1689798811
PROSPORT WELLNESS CENTER, LLC
MARIETTA, GA
NPI
1689798811
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Entity Type
Organization
Authorized Contact
MICHAEL B WAX
CEO
770-454-8300
Organization Subpart ?
No
Primary Taxonomy
111NR0400X
(Licence: GA CHIR005750)
Enumeration Date
2007-03-16
Last Update Date
2020-08-22
Business Address
PROSPORT WELLNESS CENTER, LLC
2000 POWERS FERRY RD. SUITE A
MARIETTA, GA 30067
Phone number: 770-454-8300
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Mailing Address
PROSPORT WELLNESS CENTER, LLC
5464 PEACHTREE INDUSTRIAL BLVD
CHAMBLEE, GA 30341
Phone number: 770-454-8300
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